| NPI | 1629370614 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 81060) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: TX S2987) |
| 208M00000X Hospitalist (Licence: WI 81060) | |
| 207R00000X Internal Medicine (Licence: TX S2987) | |
| Enumeration Date | 2010-11-23 |
| Last Update Date | 2023-02-08 |